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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOUNTAIN OF LIFE LLC

Active Organization

FOUNTAIN OF LIFE LLC is a Clinical Psychologist organization located in FALLS CHURCH, Virginia. NPI 1396286019 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · FALLS CHURCH, VA

Registration Details

NPI Number
1396286019
Provider Type
Organization
NPI Issued
Mar 14, 2017 (9.4110492853156 yrs)
Last Updated
Mar 14, 2017
License
0810002980 (VA)

Practice Information

Address
450 W BROAD ST STE 211
FALLS CHURCH, VA, 220463318
Browse VA providers · Browse ZIP 22046
Phone
5712774919
Fax
7032411122
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Organizations in FALLS CHURCH, VA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.